valacyclovir 500 MG Oral Tablet [Valtrex]
valacyclovir
RxCUI: 108780
What the CMS Formulary Data Shows for valacyclovir 500 MG Oral Tablet [Valtrex]
Per the CMS 2026 Part D formulary file, valacyclovir 500 MG Oral Tablet [Valtrex] (RxNorm concept RXCUI 108780, generic name valacyclovir) appears on 1 distinct formulary file spanning 2 Medicare Part D plan offerings - 0% of enrollable Part D products, selective placement; verify formulary inclusion before enrolling. Tier placement ranges from Tier 1 to Tier 1, with a cross-plan average of Tier 1.
Real-world access to valacyclovir 500 MG Oral Tablet [Valtrex] depends on utilization management as much as tier placement: 0% of covering formularies require prior authorization. 0% require step therapy. 0% apply quantity limits.
Historical spending context from the CMS Medicare Part D Drug Spending Dashboard shows 1,382,297 Part D beneficiaries filled valacyclovir 500 MG Oral Tablet [Valtrex] in 2023, with total plan-and-beneficiary spending of $121,564,610 and an average per-beneficiary annual cost of $87.94. The plan-by-plan detail below lists exactly which PDP and MA-PD contracts carry valacyclovir 500 MG Oral Tablet [Valtrex] today.
Coverage Details
- Formularies covering
- 1
- Plans covering
- 2
- Coverage rate
- 0%
- Tier range
- Tier 1, Preferred Generic
- Average tier
- Tier 1, Preferred Generic
Restrictions
- Prior authorization required
- 0% of formularies
- Step therapy required
- 0% of formularies
- Quantity limits
- 0% of formularies
2023 Medicare Spending
- Beneficiaries
- 1,382,297
- Total spending
- $121,564,610
- Avg per beneficiary
- $87.94
Tier Distribution Across Plans
Medicare Advantage Plans (MA-PD) Covering valacyclovir 500 MG Oral Tablet [Valtrex]
2 Medicare Advantage plans with Part D drug coverage include this drug.
| Plan | Insurer | Tier | PA | Premium | States |
|---|---|---|---|---|---|
| Hamaspik Medicare Choice (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $0 | NY |
| Hamaspik Medicare Select (HMO D-SNP) | HAMASPIK, INC. | T1 | No | $34.50 | NY |
Frequently Asked Questions
Is valacyclovir 500 MG Oral Tablet [Valtrex] covered by Medicare Part D?
Yes, valacyclovir 500 MG Oral Tablet [Valtrex] is covered by 2 Medicare Part D plans (0% of all Part D formularies).
What tier is valacyclovir 500 MG Oral Tablet [Valtrex] on Medicare Part D plans?
valacyclovir 500 MG Oral Tablet [Valtrex] averages Tier 1 across Part D plans, ranging from Tier 1 to Tier 1.
Does valacyclovir 500 MG Oral Tablet [Valtrex] require prior authorization?
0% of Part D formularies require prior authorization for valacyclovir 500 MG Oral Tablet [Valtrex]. Step therapy: 0%. Quantity limits: 0%.
How much does Medicare spend on valacyclovir 500 MG Oral Tablet [Valtrex]?
In 2023, total Medicare Part D spending on valacyclovir 500 MG Oral Tablet [Valtrex] was $121,564,610, covering 1,382,297 beneficiaries. The average spend per beneficiary was $87.94.
Read our methodology - how this data is sourced, computed, and verified.